The costs of these provisions are offset by taxes, fees, and cost-saving measures, such as new Medicare taxes for those in high-income brackets, taxes on indoor tanning, cuts to the Medicare Advantage program in favor of traditional Medicare, and fees on medical devices and pharmaceutical companies; there is also a tax penalty for those who do not obtain health insurance, unless they are exempt due to low income or other reasons. In March 2010, the CBO estimated that the net effect of both laws will be a reduction in the federal deficit by $143 billion over the first decade.
John McCain was nominated as the Republican candidate, and he selected Sarah Palin as his running mate. The two candidates engaged in three presidential debates in September and October 2008. On November 4, Obama won the presidency with 365 electoral votes to 173 received by McCain. Obama won 52.9% of the popular vote to McCain's 45.7%. He became the first African American to be elected president. Obama delivered his victory speech before hundreds of thousands of supporters in Chicago's Grant Park.
More InfoAs a candidate for the Illinois state senate in 1996, Obama had said he favored legalizing same-sex marriage. By the time of his Senate run in 2004, he said he supported civil unions and domestic partnerships for same-sex partners but opposed same-sex marriages. In 2008, he reaffirmed this position by stating "I believe marriage is between a man and a woman. I am not in favor of gay marriage." On May 9, 2012, shortly after the official launch of his campaign for re-election as president, Obama said his views had evolved, and he publicly affirmed his personal support for the legalization of same-sex marriage, becoming the first sitting U.S. president to do so.
More InfoOn February 10, 2007, Obama announced his candidacy for President of the United States in front of the Old State Capitol building in Springfield, Illinois. The choice of the announcement site was viewed as symbolic because it was also where Abraham Lincoln delivered his historic "House Divided" speech in 1858. Obama emphasized issues of rapidly ending the Iraq War, increasing energy independence, and reforming the health care system, in a campaign that projected themes of hope and change.
More InfoIn December 2006, President Bush signed into law the Democratic Republic of the Congo Relief, Security, and Democracy Promotion Act, marking the first federal legislation to be enacted with Obama as its primary sponsor. In January 2007, Obama and Senator Feingold introduced a corporate jet provision to the Honest Leadership and Open Government Act, which was signed into law in September 2007. Obama also introduced two unsuccessful bills: the Deceptive Practices and Voter Intimidation Prevention Act to criminalize deceptive practices in federal elections, and the Iraq War De-Escalation Act of 2007.
More InfoNumerous candidates entered the Democratic Party presidential primaries. The field narrowed to a duel between Obama and Senator Hillary Clinton after early contests, with the race remaining close throughout the primary process but with Obama gaining a steady lead in pledged delegates due to better long-range planning, superior fundraising, dominant organizing in caucus states, and better exploitation of delegate allocation rules. On June 7, 2008, Clinton ended her campaign and endorsed Obama.
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